Browsing by Author "Ortiz Tobar, Juan Pablo"

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Cefalea post punción lumbar en mujeres sometidas a cesárea. Hospital Vicente Corral Moscoso. 2013
(2014) Narvaez Reinoso, Juan José; Ordoñez Castro, Amanda Elizabeth; Ortiz Tobar, Juan Pablo; Barzallo Sacoto, Jorge Eduardo; Mosquera Vallejo, Lorena Elizabeth
Objective: To determine the prevalence of post lumbar puncture headache in women undergoing cesarean surgery in the Vicente Corral Moscoso Hospital during the period February to May 2013. Methodology: The study of cross-sectional prevalence conducted in the Department of Anesthesiology and Obstetrics and Gynecology of the Vicente Corral Moscoso Hospital, this study included 138 women undergoing cesarean section, looking for post lumbar puncture headache detect. Statistical analysis was performed in SPSS program 15.0 version using descriptive and inferential statistics, statistical data were obtained RP (95 % CI) and p value. Results: The mean age 24.89 years started with a standard deviation of 6.15 years, the most common marital status was married to 47.8 % at 55.1 % of the population concluded the high school and 57.2 %, the prevalence of PLDH stood at 11.6% and the most frequent nutritional status was normal in 57.2 %. PLDH was higher in patients aged 20-35 years (56.25 %) , free union (56.25 %) binding with secondary level education with 62.5% , from urban procedence ( 56 , 25%) , nutritional status with overweight ( 37.5 % ) patients subjected to 25-gauge needle puncture (93.8% ), with a number of puncture attempts (100 %) and use of povidone iodine as an antiseptic (37.5%) . Any factor was associated nor behaved as a risk factor for the presentation of PLDH with a statistically not significant p value. Conclusions: The prevalence of PLDH is in lower limits in our population, however, still represents a current problem in our Hospital. KEYWORDS: HEADACHE, CESAREAN DURAL PUNCTURE RISK FACTOR.
Factores asociados a apéndice blanca en pacientes apendicectomizados Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. 2018
(Universidad de Cuenca, 2020-02-20) Ortiz Tobar, Juan Pablo; Sarmiento Altamirano, Doris Adriana
Background: the appendectomy is the most frequent surgery in the emergency services, currently there are no specific data, signs or symptoms that prevent the surgeon from falling into the error of removing a normal appendix. Objective: to determine the frequency and factors associated with white appendix patients older than 16 years undergoing appendectomy at the José Carrasco and Vicente Corral Moscoso Hospitals in the city of Cuenca. Methods and Techniques: A cross-sectional analytical study was conducted, with 432 patients who met the inclusion criteria. The data were collected using a form, its tabulation was performed using SPSS 20 software. Quantitative variables were analyzed with average and standard deviation, qualitative variables with frequency and percentage; In addition, for the associated factors, a bivariate analysis was performed using Odds Ratio with 95% CI and multivariate logistic regression with a value of p <0.05. Results: the frequency of white appendectomy was 9.3%, predominantly in women between 25 and 39 years old; the factors associated with statistical significance were, not presenting a Mac Burney sign 8.79% (OR 10.26; 95% CI 1.40–74.93; p 0.04), being female (OR 2.19; 95% CI 1.11-4.31; p 0.016), absence of hypersensitivity (OR 13.65; 95% CI 3.96-47.08; p 0.00) and living in rural areas (OR 2.816; 95% CI 1.54 - 25,208; p 0,021). Conclusions: the frequency of white appendectomy was similar to that reported in the literature, the associated factors were, being female, absence of hypersensitivity, showing no sign of Mac Burney and residing in rural areas.